MR. KEVIN V. SPERA (NPI# 1407964638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407964638 |
| Entity Type | Individual |
| Full Name | MR. KEVIN V. SPERA |
| Credential | PMHCNS, BC |
| Practice Address |
2300 California St Ste 202 San Francisco CA 94115 |
| Mailing Address |
2350 W El Camino Real Fl 2 Mountain View CA 94040-6203 |
| Practice Telephone | 4156003503 |
| Practice Fax Number | 4153691383 |
| Mailing Telephone | 4156003503 |
| Mailing Fax Number | 4153691383 |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2019-06-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN95044800 | CA | Nursing Service Providers |
| N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
PMH586 | CA | Nursing Service Providers |
| N | 364S00000X | Clinical Nurse Specialist | CNS4252 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
0240982 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | STATE MEDICAL LICENSE | RN95044800 | 01 |
| CA | STATE MEDICAL LICENSE | PMH586 | 01 |
| CA | STATE MEDICAL LICENSE | CNS4252 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 822 D St, San Rafael, CA 949012814 | 2022957211 |
| Street Address |
2300 CALIFORNIA ST STE 202 |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669788378 | Michelle Whetzel Luttrell | Nurse Practitioner | 2300 California St Ste 202, San Francisco, CA 94115-2754 | 2010-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619593274 | Francene G Colvin | Psychologist | 1939 Divisadero, Suite 1, San Francisco, CA 94115 | 2020-06-19 |
| 1760015689 | Simon James Little | Psychiatry & Neurology | 1634 Divisadero St, Suite 250, San Francisco, CA 94115 | 2020-02-19 |
| 1881243822 | Clara Kwun | Social Worker | 1610 Scott St., San Francisco, CA 94115 | 2019-09-11 |
| 1467005207 | Tamara Aline Hostetler | Marriage & Family Therapist | 2859 Sacramento St., San Francisco, CA 94115 | 2019-07-22 |
| 1962054999 | Wendy Lynne Stern | Psychologist | 2104 Bush St., San Francisco, CA 94115 | 2019-07-10 |
| 1184188476 | Katherine Marie Carroll | Specialist/Technologist | 1731 B Buchanan Street, San Francisco, CA 94115 | 2019-01-30 |
| 1710467410 | Joanna Katherine Hendrick | Marriage & Family Therapist | 1201 Fillmore Street, San Francisco, CA 94115 | 2018-08-21 |
| 1063998771 | Leonard Cheung | Counselor | Youth Services Bureau of San Francisco, 1426 Fillmore Street Suite 216, San Francisco, CA 94115 | 2018-07-16 |
| 1942709563 | Jobelle Cunanan | Behavior Technician | 1871 Turk St, San Francisco, CA 94115 | 2018-02-09 |
| 1083128235 | Dr. Jenny Mann, Nd | Clinic/Center | 2300 Sutter St Ste 301, San Francisco, CA 94115 | 2017-11-27 |
| Find all providers in zip 94115 | ||||
| Taxonomy Code | 364SP0809X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417213273 | The Well Clinic | Clinical Nurse Specialist | 383 Rhode Island St, Suite 201, San Francisco, CA 94103-5177 | 2012-04-05 |
| 1861422602 | Gina De Ann Surber | Clinical Nurse Specialist | 401 3rd St, Va Downtown Clinic, San Francisco, CA 94107-1214 | 2006-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629376322 | Susanne Semler Birman | Clinical Nurse Specialist | 3620 Saint Elizabeth Rd, Glendale, CA 91206-1228 | 2011-03-03 |
| 1033429204 | Mary Ann Nihart | Clinical Nurse Specialist | 146 Hilton Ln, Pacifica, CA 94044-8039 | 2010-10-20 |
| 1770722639 | Lynn Y. Martin | Clinical Nurse Specialist | 61 Avenida De Orinda # 100, Orinda, CA 94563-2327 | 2009-02-16 |
| 1245258227 | Linda Anne Allen | Clinical Nurse Specialist | 86 Long Ct Ste A, Thousand Oaks, CA 91360-7418 | 2006-07-17 |
| 1235787235 | Taryn Alexandra Joyce | Clinical Nurse Specialist | 150 W 7th St, San Pedro, CA 90731-3320 | 2019-09-03 |
| 1336566348 | Scott Veltre | Clinical Nurse Specialist | 5887 Brockton Ave, Suite A, Riverside, CA 92506-1853 | 2014-03-27 |
| 1831439504 | Martha Abbott Creed | Clinical Nurse Specialist | 3801 Miranda Ave, Va Palo Alto, Palo Alto, CA 94304 | 2013-02-18 |
| 1346529823 | Keynan Hobbs | Clinical Nurse Specialist | 8900 Grossmont Blvd, Ste 4, La Mesa, CA 91941-4047 | 2011-08-15 |
| 1487989281 | Dawn Nolan | Clinical Nurse Specialist | 2025 Morse Ave, Sacramento, CA 95825-2115 | 2009-10-12 |
| 1235329608 | Susan F Mcdonald | Clinical Nurse Specialist | 3350 La Jolla Village Dr, San Diego, CA 92161-0002 | 2007-07-31 |
| Find all providers with the same taxonomy | ||||
| City | SAN FRANCISCO |
| Zip Code | 94115 |
Please comment or provide details below to improve the information on MR. KEVIN V. SPERA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.